Advances in Diagnostic Urology by A. N. Dardenne, P. Bodart, P. J. Van Cangh (auth.), Claude PDF

By A. N. Dardenne, P. Bodart, P. J. Van Cangh (auth.), Claude C. Schulman M. D. (eds.)

ISBN-10: 0387108068

ISBN-13: 9780387108063

ISBN-10: 3642953948

ISBN-13: 9783642953941

ISBN-10: 3642953964

ISBN-13: 9783642953965

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Example ofmultiple right spermatic veins. consists of a network of veins which originate in the testis and epididymis. It is drained by the anterior and posterior spermatic plexus and by the ductus deferens veins. The anterior spermatic plexus continues past the left and right spermatic veins. The posterior spermatic plexus ends in the epigastric vein. The ductus deferens veins follow the ductus deferens through the inguinal canal and empty via the vesical veins into the internal iliac vein. The superficial venous system consists of the anterior and posterior scrotal veins.

This condition is very common, affecting about 10% ofyoung men (Johnson et al. 1970), and it occurs in about 20% of subfertile males (Hendry et al. 1973), when it may be associated with a variable degree of impaired spermatogenesis (Fritjofsson and Ahren 1967; MacLeod 1969; Dubin and Hotchkiss 1969). There have been many reports of improvement in seminal analysis in about 70% of men following ligation of varicocele, with pregnancies in up to 55% of the Serotal Thermography in Subfertile Males 29 wives (Dubin and Amelar 1977).

Selective arteriography is usually not feasible and entails the danger of inadvertent cannulation of a lumbar artery with a possible spinal cord lesion (Broy 1971). Renal phlebography offersJhe following advantages (Athanasoulis et al. 1973; Itzchak et al. 1974; Braedel et al. 1976): The larger caliber ofthe renal veins allows for an easy catheterization, especially on the left side, where, due to embryology, a renal vein is always developed, although in cases of renal agenesis the main renal vein on this side is thinner than normal.

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